X-ray small intestine follow-through study at LODI MEMORIAL HOSPITAL ASSOCIATION INC

975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301

Source: hospital's published price file ↗ · Published Aug 2, 2026 · Ingested Sep 16, 2026

$116.06

Cash price

?

Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$1,658.00

Gross charge

?

Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$32.60 with KNNEX HEALTH - ALL PLANS vs $1,156.50 with THREE RIVERS PROVIDER NETWORK- ALL PLANS — same scan, same building. Share

Negotiated rates by payer
?

Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
?

Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
?

Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
KNNEX HEALTH - ALL PLANS KNNEX HEALTH - ALL PLANS $32.60 ↓ -72%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $32.60 ↓ -72%
HUMANA MCR ADV - ALL PLANS HUMANA MCR ADV - ALL PLANS $32.60 ↓ -72%
ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS $32.60 ↓ -72%
HP OF SAN JOAQUIN MCR ADV HP OF SAN JOAQUIN MCR ADV $32.60 ↓ -72%
UHC MCR ADV UHC MCR ADV $32.60 ↓ -72%
HEALTHNET MCARE HEALTHNET MCARE $32.60 ↓ -72%
BLUE SHIELD MCARE ADV BLUE SHIELD MCARE ADV $32.60 ↓ -72%
HP HEALTHY KIDS PRO FEE HP HEALTHY KIDS PRO FEE $34.23 ↓ -71%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $35.86 ↓ -69%
FIRST HEALTH- ALL PLANS FIRST HEALTH- ALL PLANS $39.12 ↓ -66%
CIGNA- ALL PLANS CIGNA- ALL PLANS $40.09 ↓ -65%
BC MCAL BC MCAL $42.21 ↓ -64%
HP OF SAN JOAQUIN PPO - ALL OTHER PLANS HP OF SAN JOAQUIN PPO - ALL OTHER PLANS $42.38 ↓ -63%
MULTIPLAN- ALL PLANS MULTIPLAN- ALL PLANS $42.38 ↓ -63%
BEECH STREET- ALL PLANS BEECH STREET- ALL PLANS $42.38 ↓ -63%
NETWORKS BY DESIGN- ALL PLANS NETWORKS BY DESIGN- ALL PLANS $44.01 ↓ -62%
KAISER MCR ADV KAISER MCR ADV $44.01 ↓ -62%
KAISER COMMERCIAL - ALL OTHER PLANS KAISER COMMERCIAL - ALL OTHER PLANS $44.01 ↓ -62%
UHC JLL UHC JLL $45.92 ↓ -60%
UHC HMO UHC HMO $45.92 ↓ -60%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $45.92 ↓ -60%
HEALTHNET- ALL OTHER PLANS HEALTHNET- ALL OTHER PLANS $47.50 ↓ -59%
WESTERN GROWERS- ALL PLANS WESTERN GROWERS- ALL PLANS $49.88 ↓ -57%
BLUE SHIELD EPN - ALL OTHER PLANS BLUE SHIELD EPN - ALL OTHER PLANS $52.53 ↓ -55%
BLUE SHIELD NON-EPN BLUE SHIELD NON-EPN $55.51 ↓ -52%
AETNA - ALL PLANS AETNA - ALL PLANS $64.26 ↓ -45%
BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $66.24 ↓ -43%
KAISER MCAL KAISER MCAL $74.76 ↓ -36%
CELTIC INS COMPANY - ALL PLANS CELTIC INS COMPANY - ALL PLANS $74.76 ↓ -36%
MEDI-CAL MEDI-CAL $74.76 ↓ -36%
HP MCAL PRO FEE HP MCAL PRO FEE $82.24 ↓ -29%
CCA HEALTH PLAN MCR ADV- ALL PLANS CCA HEALTH PLAN MCR ADV- ALL PLANS $84.40 ↓ -27%
HP OF SAN JOAQUIN MCAL HP OF SAN JOAQUIN MCAL $89.71 ↓ -23%
HEALTHNET MCAL HEALTHNET MCAL $89.71 ↓ -23%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $168.80 ↑ +45%
MEDCORE(OMNI IPA) OP ONLY- ALL PLANS MEDCORE(OMNI IPA) OP ONLY- ALL PLANS $334.10 ↑ +188%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $342.71 ↑ +195%
THREE RIVERS PROVIDER NETWORK- ALL PLANS THREE RIVERS PROVIDER NETWORK- ALL PLANS $1,156.50 ↑ +896%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

X-ray small intestine follow-through study at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $1,540.00 not published
St. John's Camarillo Hospital Camarillo $269.81 $113.10 – $480.48
Antioch Medical Center ANTIOCH $1,540.00 not published
Redwood City Medical Center Redwood City $1,540.00 not published
Santa Clara Medical Center SANTA CLARA $1,540.00 not published
Baldwin Park Medical Center BALDWIN PARK $977.60 not published
Riverside Medical Center RIVERSIDE $977.60 not published
Fremont Medical Center FREMONT $1,540.00 not published

All California hospitals for this procedure →